Mutations

SORL1 S124R (C>G)

Overview

Clinical Phenotype: Alzheimer's Disease
Position: (GRCh38/hg38):Chr11:121470093 C>G
Position: (GRCh37/hg19):Chr11:121340802 C>G
dbSNP ID: NA
Coding/Non-Coding: Coding
DNA Change: Substitution
Expected Protein Consequence: Missense
Codon Change: AGC to AGG
Reference Isoform: SORL1 Isoform 1 (2214 aa)
Genomic Region: Exon 2

Findings

This variant was found in one of 484 French early onset Alzheimer’s cases (age of onset 63 years) and none of 498 ethnically matched controls in a dataset from the Centre National de Référence - Malades Alzheimer Jeunes (CNR-MAJ), the French national reference center for young Alzheimer patients (Nicolas et al., 2016). The carrier did not have a known family history of AD, and his APOE genotype was E3/E4.

No additional carriers were found when the French cohort was expanded to 852 early onset AD cases, 927 late-onset AD cases, and 1,273 controls from the Alzheimer Disease Exome Sequencing France (ADESFR) project (Bellenguez et al., 2017). However, a serine-to-arginine substitution at this position, caused by an AGC to AGA codon change, was found in an early onset AD case in the expanded cohort.

This variant was among 54 selected for genotyping in a North American sample of 217 sporadic early onset AD cases and 169 controls. The variant was not found in this cohort. Nor was it found by whole- exome or genome sequencing of 866 familial late-onset AD cases and 324 controls in the same study (Fernández et al., 2016).

In a study that included 15,808 Alzheimer’s cases and 16,097 control subjects from multiple European and American cohorts, including CNR-MAJ and ADESFR, this allele was observed once among the AD cases (Holstege et al., 2022).

Functional Consequences

The variant was predicted to be probably damaging by PolyPhen-2, deleterious by SIFT, and disease causing by Mutation Taster (Nicolas et al., 2016).

In a study investigating the effects of SORL1 missense mutations on protein processing, the S124R variant did not affect the maturation (glycosylation) or trafficking of SORL1 overexpressed in HEK293 cells (Rovelet-Lecrux et al., 2021). Nor did the variant affect SORL1 maturation, cell-surface expression, or Aβ secretion when introduced into the endogenous SORL1 gene in human IPSCs.

Last Updated: 18 Jul 2024

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References

Paper Citations

  1. . SORL1 rare variants: a major risk factor for familial early-onset Alzheimer's disease. Mol Psychiatry. 2016 Jun;21(6):831-6. Epub 2015 Aug 25 PubMed.
  2. . Contribution to Alzheimer's disease risk of rare variants in TREM2, SORL1, and ABCA7 in 1779 cases and 1273 controls. Neurobiol Aging. 2017 Nov;59:220.e1-220.e9. Epub 2017 Jul 14 PubMed.
  3. . SORL1 variants across Alzheimer's disease European American cohorts. Eur J Hum Genet. 2016 Dec;24(12):1828-1830. Epub 2016 Sep 21 PubMed.
  4. . Exome sequencing identifies rare damaging variants in ATP8B4 and ABCA1 as risk factors for Alzheimer's disease. Nat Genet. 2022 Dec;54(12):1786-1794. Epub 2022 Nov 21 PubMed.
  5. . Impaired SorLA maturation and trafficking as a new mechanism for SORL1 missense variants in Alzheimer disease. Acta Neuropathol Commun. 2021 Dec 18;9(1):196. PubMed.

Further Reading

No Available Further Reading

Protein Diagram

Primary Papers

  1. . SORL1 rare variants: a major risk factor for familial early-onset Alzheimer's disease. Mol Psychiatry. 2016 Jun;21(6):831-6. Epub 2015 Aug 25 PubMed.

Other mutations at this position

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